How To Deal With Anxiety At Night
For most people, nighttime is a time of relaxation just before going to bed. For some, however, the nighttime is when their anxiety tends to spike, leading to undesirable symptoms and sleepless nights. If you’ve been having trouble sleeping and believe anxiety could be to blame, there are several steps you can take to get a better night’s rest. In this article, we’ll be discussing the causes and symptoms of anxiety and tips for coping with it at night.
What Is Anxiety?
Anxiety is a natural reaction to stressful or scary situations. Although most people have experienced anxiety at some point, not everyone struggles with it daily. Those with anxiety disorders or other mental health conditions, however, may regularly feel anxious, on edge, and concerned about something bad happening. They may be unable to control their thoughts and have trouble carrying out daily responsibilities as a result.
Symptoms Of Nighttime Anxiety
The symptoms created by anxiety and stress can be particularly overwhelming at night and could include:
- Nervous feelings or excessive thoughts
- Increased heart rate
- A sense of danger or doom
- Fast breathing (hyperventilation)
- Inability to concentrate
- Restlessness
- Tense muscles
- Upset stomach
This list of symptoms is not exhaustive, and everyone’s experience with anxiety can vary.
Causes Of Anxiety At Night
The quality of your sleep and anxiety can go hand in hand. If you’re not getting enough sleep at night, you may be more prone to anxiety; likewise, if you’re experiencing anxiety, it may be difficult for you to fall or stay asleep. This is a paradox in itself that may seem like an inescapable one.
According to the Anxiety and Depression Association of America (ADAA), “Stress and anxiety may cause sleeping problems or make existing problems worse. And having an anxiety disorder exacerbates the problem.” This means that if you have an existing sleep disorder, anxiety could make it even worse. Common sleeping disorders include:
- Insomnia: Difficulty falling or staying asleep, which can last short-term or long-term.
- Sleep apnea: An experience of abnormal breathing patterns while sleeping, which can vary depending on the type of sleep apnea.
- Restless leg syndrome: Causes uncomfortable sensations and urges to move one’s legs while trying to sleep.
- Narcolepsy: Extreme sleepiness during the day, causing one to fall asleep suddenly and involuntarily.
Having any of these disorders could make your nighttime anxiety worse. Anxiety, in combination with any of these disorders, could even lead to nighttime panic attacks. Still, with the right tools, you can learn plenty of different ways to ease your anxiety at night and overcome your symptoms.
Lifestyle Tips That May Help Nighttime Anxiety
While nighttime anxiety can seem overwhelming, there may be some valid treatment options to help you overcome it. In conjunction with seeking therapy, try adding these lifestyle tips recommended by the Anxiety and Depression Association of America (ADAA):
- Meditation: When you can’t sleep at night, you could try meditation, a practice that focuses on mindfulness. Meditation is all about allowing your thoughts to pass without judging them and being able to create a calmer state of mind for yourself. You can imagine a vast desert, a mountain top, or whatever your happy place may be. Research shows that daily meditation can enhance mood, memory, attention, and emotional regulation, even for those individuals who have never meditated before.
- Exercise: Exercising can benefit the body physically, but it can also impact the body mentally. Whatever exercise you choose, whether it be anaerobic or aerobic, could have a positive effect on your overall well-being. Exercising can be an outlet for frustrations or stress, and it releases endorphins into your brain which can boost your mood. Choose the exercise that fits your lifestyle, whether it’s lifting weights, doing yoga, or going for a run.
- Listening To Music: Listening to music could put your mind at ease, particularly when you’re ready to go to bed. The ADAA recommends listening to calming music, which can lower your blood pressure and relax your body and mind.
- To-Do Lists: Most people that use to-do lists say they feel both exhausted and fulfilled afterward. You could try creating a daily to-do list that helps you stay productive throughout the day so that you’re tired by the time you go to bed.
Lifestyle Tips
While the tips above can be helpful for coping with anxiety in the moment, the tips below may be useful for making permanent changes in your life to promote higher-quality sleep and fewer symptoms of anxiety. Consider the following general sleeping tips:
Create A Set Sleeping Schedule
Sleeping on time can be difficult with nighttime anxiety, but it may be worth trying. Instead of staying up until you feel tired, set a time to sleep and a time to wake up, making sure you’re getting at least eight hours of rest. If you know you lie awake at night from anxiety, then try to go to sleep an hour before your set time for a head start.
Having a set sleeping schedule and not deviating from it too much could reinforce a sleep cycle for your body. This could cause you to get tired before bed, which may allow for more comfortable sleep. A set sleeping schedule allows your body to become accustomed to sleeping at a certain time, which causes it to release melatonin at that time each night. Try to avoid napping during the day, and if you must nap, limit them to no more than 30 minutes. Taking a nap during the day could make you more restless as you lie in bed because your body feels rested enough to keep going for another couple of hours.
Consider Your Diet
Before bed, you may feel the urge to snack or have a meal. However, eating large amounts of food could end up hindering your sleep, thus making your symptoms of anxiety worse. Overeating before bed can cause discomfort.
With drinks, try to avoid caffeine close to bedtime. If you love drinking caffeinated beverages, then consider doing it four to six hours before bed. The amount of time caffeine takes to wear off depends on the person, so consider this when deciding when and how much to drink. Avoid alcohol before bed, as well. While it may make you feel sleepy, it could also interrupt your sleep in the middle of the night as well. Certain teas, like chamomile, can reduce anxiety. Drinking chamomile before bed can reduce stress and anxiety, and it’s also linked to treating or helping combat insomnia.
Limit Your Electronic Use Before Bed
Looking at your phone or staring at your laptop before bed could be affecting your sleep more than you know. Studies show that blue light from our devices (such as phones, televisions, and laptops) can delay melatonin release. Melatonin is a hormone your body produces that makes your body less alert, making sleep more inviting. Blue light could interrupt your body’s natural sleep schedule. If you plan to adhere to a sleep schedule, try to limit your blue light consumption to increase your chances of success.
Create A Restful Environment
Wherever you choose to sleep, it can be important that the environment is quiet, cool, dark, and relaxing. If your room has lights shining into it through windows, then consider getting curtains to limit the light entering your room. If it feels too hot, try investing in a fan. If phone notifications keep you up all night, try switching your phone off or lowering the volume. Creating a restful environment can help you ensure you get the sleep you need.
Online Counseling With ReGain
If the tips above still aren’t quelling your anxiety at night, it could be time to seek help and treatment from a professional. You can speak with a therapist in your local area or pursue counseling services online through a site like ReGain. ReGain is a virtual counseling platform offering services for a variety of concerns. Once you sign up, you can get matched with a therapist who has experience with anxiety, insomnia, and other types of sleep disorders. This takes away the burden of having to do research to find a professional who might be right for you. Living with anxiety can be a challenge, but a therapist can help you find tools to overcome your symptoms so that you can get back to living a healthy, productive lifestyle.
The Effectiveness Of Online Counseling
Those struggling to sleep at night could benefit from online counseling, according to research. In one study, researchers found that an online intervention for insomnia produced statistically significant improvements in sleep quality, insomnia severity, and daytime fatigue. Participants were told to monitor their thoughts and attempt to replace anxiety-provoking thoughts with more realistic alternatives, helping to change their dysfunctional beliefs about sleep and allowing them to change those habits that led to pre-sleep cognitive arousal.
The Takeaway
Living with anxiety can already be difficult enough, but when it interferes with your sleep, it can make it difficult to function throughout the day. Sleep can be essential to your overall health and well-being, meaning a lack of rest along with anxiety can take a toll on your body. Getting help with these issues can be crucial. A licensed therapist can work with you to identify the root of your anxiety and give you tips for getting a better night of rest. Once you’re sleeping soundly again, you can have more energy to devote to the things that matter to you in life.
Frequently Asked Questions (FAQs)
How Can I Stop Anxiety At Night?
People with anxiety may have trouble falling asleep and staying asleep. Sleep deprivation is widespread among individuals with high levels of anxiety and stress. Anxiety and sleep disorders go hand in hand, so if you have anxiety, it can be important to get enough sleep because sleep deprivation can worsen your anxiety symptoms. The Anxiety and Depression Association lists some things you can try to reduce anxiety and stress before bed so you can fall asleep:
- Meditate
- Exercise
- Create a bedtime routine
- Eliminate distractions
It's advised that you seek a professional's help if none of these practices help you fall asleep.
What Causes Anxiety At Night?
Anxiety can cause sleep problems because there is nothing to focus on to distract you from your anxiety and stress, impacting your ability to fall asleep. On top of difficulty falling asleep, people with anxiety can also have issues staying asleep. At night, your body produces melatonin and shifts into the circadian rhythm. However, the bodies of individuals with anxiety often fight these nighttime processes, leading to sleep deprivation. If you don't treat anxiety, it could lead to sleep disorders such as insomnia.
Those experiencing anxiety disorders may get poor sleep due to increased anxiety symptoms such as panic attacks at night and the inability to turn their minds off. Sleep problems can increase anxiety symptoms, which results in a vicious cycle of increased anxiety and poor sleep. If you cannot fall asleep because of anxiety, it can be imperative to seek help from a mental health professional.
What Is Nocturnal Anxiety?
Nocturnal anxiety causes individuals to wake up from panic attacks at night. They have no exact triggers and cause you to wake up with chest pain, sweatiness, increased heart rate, and fear. Some individuals with nocturnal anxiety can easily fall asleep. However, they are unable to stay asleep because of anxiety and stress. Nocturnal anxiety can look different in everyone, but it ultimately impacts your ability to get a good night's sleep.
If you often experience panic attacks at night, it can be important to treat anxiety before you develop a sleeping disorder. Anxiety and sleep go hand in hand, and it can be essential to take steps toward improving your sleeping habits to reduce anxiety symptoms.
Why Does My Anxiety Get Worse In The Evening?
The typical reason that anxiety gets worse in the evening is that there are limited distractions. When you have no tasks or things to distract you from your thoughts, anxiety symptoms often worsen. At night individuals with anxiety are often unable to shut off their minds. For example, they restlessly worry about uncompleted work, paying bills, relationships, etc. If your anxiety worsens at night, there are different relaxation methods that you can try to help you fall asleep such as meditation, reading, yoga, and listening to calming music.
Does Anxiety Worsen With Age?
Many people who experience anxiety disorders in adolescence and adulthood see improvements in their anxiety symptoms as they age. Remission, a decrease in symptoms, is expected as people age. As you get older, you begin to become more comfortable with yourself and the world and may worry less about things that cause you anxiety and stress. However, that does not mean that anxiety completely goes away when you age.
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